| Chelsea Agnew, PA | |
|
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | |
| (304) 548-7272 | |
| Not Available |
| Full Name | Chelsea Agnew |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 107 Koontz Ave Ste 200, Clendenin, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477936326 | NPI | - | NPPES |
| 272810084 | Other | FL | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9108790 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 2825 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Agnew, PA 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2040 | Chelsea Agnew, PA 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 Ph: (304) 548-7272 |
Rachael D. Mitchell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 | |
Mary E Grandon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave. Ste. 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 | |
Ms. Jennifer Lynn Thayer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 | |
Trenton Ryan Johnson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-542-7149 |